Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-16T17:21:52.090Z Has data issue: false hasContentIssue false

Quality of Life for Patients Detained in Hospital

Published online by Cambridge University Press:  02 January 2018

Jeremy W. Coid*
Affiliation:
Department of Psychological Medicine, St Bartholomew's Hospital, London EC1A 7BE

Abstract

The quality of life of detained patients has not received adequate attention despite the responsibilities placed on hospital staff and the special problems faced by these patients. Legal principles to ensure quality of life have not been formalised, and the acceptable standards that a patient can expect have not been tested in the UK courts. Contemporary models of ensuring quality are being imposed with increasing pressure on health care professionals, but high-quality management has sometimes lagged behind. This has led to a poor quality of life for certain patients. It is important for future research to overcome difficulties in developing objective measurements and set the appropriate standards of quality of life that detained patients should expect. This would provide a basis against which both appropriate standards of care and the necessary resource allocation could be measured.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1993 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abrams, M. A. (1974) Subjective social indicators. Social Trends, 4, 3550.Google Scholar
Ashworth, A. & Gostin, L. (1985) Mentally disordered offenders and the sentencing process. In Secure Provision (ed. Gostin, L.). London: Tavistock.Google Scholar
Bowling, A. (1991) Measuring Health: A Review of Quality of Life Measurement Scales. Milton Keynes: Open University Press.Google Scholar
Boynton, J. (1980) Report of the Review of Rampton Hospital (cmnd 8073). London: HMSO.Google Scholar
British Medical Journal (1983) Hospital orders and contempt of court. British Medical Journal, 287, 565.Google Scholar
Butler Committee (1975) Report of the Committee on Mentally Abnormal Offenders. London: HMSO.Google Scholar
Campbell, A., Converse, P. E. & Rodgers, W. L. (1976) The Quality of American Life: Perceptions, Evaluations and Satisfactions. New York: Russell Sage Foundation.Google Scholar
Carr-Hill, R. A. & Morris, J. (1991) Current practice in obtaining the “Q” in QALYS: a cautionary note. British Medical Journal, 303, 699701.CrossRefGoogle ScholarPubMed
Cheadle, J. & Ditchfield, J. (1982) Sentenced Mentally Ill Offenders. London: Home Office and Department of Health and Social Security.Google Scholar
Citizens' Charter (1991) Cmnd 1599. London: HMSO.Google Scholar
Clifford, P., Craig, T. & Sayce, L. (1988) Towards Coordinating Care for People with Long Term Severe Mental Illness. London: National Unit for Psychiatric Research and Development.Google Scholar
Clifford, P., Craig, T. & Sayce, L., Leiper, R., Lavender, A., et al (1989) Assuring Quality in Mental Health Services. The Quartz System. London: Research and Development for Psychiatry, 134138 Borough High Street, London SE1 1LB.Google Scholar
Coid, J. W. (1988a) Mentally abnormal offenders on remand I: rejected or accepted by the NHS? British Medical Journal, 296, 17791782.CrossRefGoogle ScholarPubMed
Coid, J. W. (1988b) Mentally abnormal offenders on remand II: comparison of services provided by Oxford and Wessex regions. British Medical Journal, 296, 17831784.CrossRefGoogle ScholarPubMed
Coid, J. W. (1991a) ‘Difficult to place’ psychiatric patients. British Medical Journal, 302, 603604.Google Scholar
Coid, J. W. (1991b) A survey of patients from five health districts receiving special care in the private sector. Psychiatric Bulletin, 15, 257262.Google Scholar
Crisp, R. (1991) QALYS and the mentally handicapped. Bulletin of Medical Ethics, April, 1316.Google Scholar
Day, K. (1988) Mental handicap and community care. British Journal of Hospital Medicine, 40, 249.Google ScholarPubMed
Dell, S. & Robertson, G. (1988) Sentenced to Hospital. Offenders in Broadmoor. Maudsley Monograph No. 32. Institute of Psychiatry. Oxford: Oxford University Press.Google Scholar
Elzinga, R. H. & Barlow, J. (1991) Patient satisfaction among the residential population of a psychiatric hospital. International Journal of Social Psychiatry, 37, 2434.Google Scholar
Faulk, M. (1985) Secure facilities in local psychiatric hospitals. In Secure Provision (ed. Gostin, L.). London: Tavistock.Google Scholar
Fitzpatrick, R. (1991a) Surveys of patient satisfaction I: important general considerations. British Medical Journal, 302, 887889.CrossRefGoogle Scholar
Fitzpatrick, R. (1991b) Surveys of patient satisfaction II: designing a questionnaire and conducting a survey. British Medical Journal, 302, 11291132.Google Scholar
Gostin, L. (1986) Institutions Observed: Towards a New Concept of Secure Provision in Mental Health. London: King Edwards Fund for London.Google Scholar
Grounds, A. (1991) The transfer of sentenced prisoners to hospital 1960-1983: a study in one special hospital. British Journal of Criminology, 31, 5471.Google Scholar
Gudex, C. (1986) QALYS and Their Use by the Health Service (discussion paper no. 20). York: Centre for Health Economics, University of York.Google Scholar
Gunn, J., Maden, A. & Swinton, M. (1991) Treatment needs of prisoners with psychiatric disorders. British Medical Journal, 303, 338341.Google Scholar
Hall, J. E. (1988) The role of the state. In Handbook of Quality Assurance in Mental Health (eds Strickers, G. & Rodriquez, A. R.). New York: Plenum Press.Google Scholar
Harrison, G., Ineichen, B. & Morgan, H. (1984) Psychiatric hospital admissions in Bristol II. Social and clinical aspects of compulsory admission. British Journal of Psychiatry, 145, 605611.Google Scholar
Hill, D. (1982) Public attitudes to mentally abnormal offenders. In Abnormal Offenders, Delinquency and the Criminal Justice System (eds Gunn, J. & Farrington, D. P.). Chichester: John Wiley.Google Scholar
Hirsch, S. (1988) Psychiatric Beds and Resources: Factors Influencing Bed Use and Service Planning. London: Gaskell.Google Scholar
Hollander, D., Tobiansky, R. & Powell, R. (1990) Crisis in admission beds. British Medical Journal, 301, 664.CrossRefGoogle ScholarPubMed
Home Office (1990a) Reports of Her Majesty's Chief Inspector of Prisons 1989. London: HMSO.Google Scholar
Home Office (1990b) Provision for Mentally Disordered Offenders (Circular 66/90). London: Home Office.Google Scholar
James, D. V. & Hamilton, L. W. (1991) The Clerkenwell Scheme: assessing efficacy and cost of a psychiatric liaison service to a magistrates court. British Medical Journal, 303, 282285.Google Scholar
Jones, K. (1985) After Hospital: A Study of Long Term Psychiatric Patients in York. York: University of York/York Health Authority.Google Scholar
Jones, K. (1988) Experiences in Mental Health. Community Care and Social Policy. London: Sage.Google Scholar
MacDonald, L., Sibbald, B. & Hoare, C. (1988) Measuring patient satisfaction with life in a long staf psychiatric hospital. International Journal of Social Psychiatry, 34, 292304.Google Scholar
Martin, J. P. (1984) Hospitals in Trouble. Oxford: Blackwell.Google ScholarPubMed
Maslow, A. J. (1943) A theory of human motivation. Psychological Review, 50, 370396.CrossRefGoogle Scholar
Mills, M. J., Cummins, B. D. & Gracey, J. S. (1983) Legal issues in mental health administration. International Journal of Law and Psychiatry, 6, 3955.Google Scholar
Morgan, R. & Richardson, G. (1987) Civil liberties, the law and the long term prisoner. In Problems of Long-Term Imprisonment (eds Bottoms, A. & Light, R.). Aldershot: Gower.Google Scholar
Murphy, M. & Keenan, O. (1991) Quality of life: the patients perspective. Nursing Standard, 5, 2931.Google Scholar
Office of Technology Assessment (1979) A Review of Selected Federal Vaccine and Immunization Policies. Washington DC: United States Congress.Google Scholar
Parker, E. (1985) The development of secure provision. In Secure Provision (ed. Gostin, L.). London: Tavistock.Google Scholar
Pearson, A. (1987) Nursing Quality Measurement. Quality Assurance Methods for Peer Review. Chichester: John Wiley Google Scholar
Powell, G. E., Campbell, E. A. & Edelmann, R. J. (1989) Report on Daily Life in Broadmoor Hospital. Management Consultants Report Commissioned by Broadmoor Hospital (unpublished).Google Scholar
Raphael, W. (1969) Patients and Their Hospitals: A Survey of Patients' Views of Life in Hospital. London: Kings Fund.Google Scholar
Reed, J. (1991) The future for psychiatry. Psychiatric Bulletin, 15, 396401.Google Scholar
Scott, P. D. (1974) Solutions to the problem of the dangerous offender. British Medical Journal, iv, 640641.Google Scholar
Secretary of State for Health (1991) The Health of the Nation (cmnd 1523). London: HMSO.Google Scholar
Shaw, C. (1986) Introducing Quality Assurance. London: Kings Fund Centre.Google Scholar
Smith, T. (1990) Medical Audit. British Medical Journal, 300, 65.Google Scholar
Snowden, P. (1990) Regional secure units and forensic services in England and Wales. In Principles of Practice of Forensic Psychiatry (eds Bluglass, R. A Bowden, P.). Edinburgh: Churchill Livingstone.Google Scholar
Standing Medical Advisory Committee (1990) The Quality of Medical Care. London: Department of Health/HMSO.Google Scholar
Szalai, A. & Andrews, F. M. (1980) The Quality of Life: Comparative Studies. California: Sage.Google Scholar
Thornicroft, G. (1991) Social deprivation and rates of treated mental disorder. Developing statistical models to predict psychiatric service utilisation. British Journal of Psychiatry, 158, 475484.Google Scholar
Treasaden, I. M. (1985) Current practice in regional interim secure units. In Secure Provision (ed. Gostin, L.). London: Tavistock.Google Scholar
Walker, S. R. & Rosser, R. M. (1988) Quality of Life: Assessment and Application. The Hague: MTP Press.Google Scholar
Wilkinson, G., Croft-Jeffreys, C., Krekorian, H., et al (1990) QALYS in psychiatric care. Psychiatric Bulletin, 14, 582585.Google Scholar
Williams, A. (1985) Economics of coronary artery bypass grafting. British Medical Journal, 291, 362369.Google Scholar
Williams, A. (1987) How should NHS priorities be determined? Hospital Update, 13, 261263.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.